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The figure shows the precursors of L-methylmalonyl-CoA: Fatty acids and amino acids can be metabolized to propionyl-CoA, which is converted to D-methylmalonyl-CoA and then to L-methylmalonyl-CoA

This result could be due to worsen vitamin B12 status in atrophic gastritis that often precedes gastric cancer

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Wu et al., 2020) [i.e., activation of the VEGFR2-Akt-eNOS signaling pathway without the need of other known ligands or shear stress (Stupnisek et al., 2015), and induce its own NO-release (Turkovic et al., 2004)